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Organization

METRO PHYSICAL MEDICINE GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOE COLE (CFO)
(215) 422-3140
Entity
Organization

Contact information

Practice address
2913 N 22ND ST, PHILADELPHIA, PA 19132-1505
(215) 613-4126
Mailing address
2913-15 NTH 22ND, PHILADELPHIA, PA 19132-2009
(215) 422-3140

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1028115650002
PA
01
2880704
BCBS
PA
Enumeration date
09/28/2015
Last updated
05/20/2016
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